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Provider education Remote Jobs

31 fresh jobs found

Provider Engagement Account Manager
Remote-OK, United States

Centene Corporation

Cost and utilization Network performance Quality measures Utilization Provider education Provider engagement HEDIS Provider Relations Health Plan +28

USD 55K+

Provider Engagement Administrator II
Remote-NJ, United States

Centene Corporation

Claims reimbursement Claims billing Cost and utilization Network performance Utilization Provider education Provider engagement HEDIS Provider Relations +27

USD 55K+

Provider Partner Consultant, DentaQuest (Maryland)
DQ Milwaukee WI, United States

Cost performance improvement Value-based pay Oral health presentations Network Recruitment Technology Promotion Client Representation Quality performance Report creation Provider education +22

USD 63K+

Provider Engagement Account Manager (BH Exp)
Remote-MS, United States

Centene Corporation

Cost and utilization Network performance Quality measures Provider education Provider engagement HEDIS Health Plan Provider Relations Issue Resolution +26

USD 55K+

Utilization Review Clinician - Behavioral Health
Remote-IL, United States

Centene Corporation

Healthcare Collaboration Medical appropriateness Substance abuse Treatment plans Provider education Discharge planning Clinical Review Utilization Review Treatment Planning +21

USD 52K+

Payment Integrity Clinician - RN (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Coding criteria Health care services Medical Documentation Payment Integrity Claims analysis Provider education Utilization management RN Managed Care +10

Senior Mid Full Time

USD 57K+

Quality Practice Advisor
Remote-IL, United States

Centene Corporation

Clinical Relationship Management Cphq Documentation standards Risk Adjustment Coding Medical record documentation NCQA Provider education Health Plan HEDIS +23

USD 52K+

Pediatric Specialized Coder
Work at Home - Louisiana - Other, United States

Ensemble Health Partners

Cardiology coding Cardiothoracic coding Pediatric surgical coding Educational tools Vascular coding Physician coding Coding software Provider education ICD-10-CM +29

USD 52K+

Coding Compliance Audit & Education Specialist
Remote, USA, United States

MDAudit Technology-driven HIPAA Rules Cloud-based technology HIPAA rules and regulations Coding compliance Athena Provider education ICD-10-CM +16

USD 70K+

Director, National Value-Based Provider Performance and Strategy
Remote US, United States

KPI interpretation Provider performance KPI Provider education Provider engagement Strategic direction Value-based care Performance Improvement BI +38

Exec Senior Full Time

USD 150K+

HCC Physician Coding Auditor
Work at Home - Ohio - Other, United States

Ensemble Health Partners

Education Development Physician coding Coding and Billing Technical resource Provider education Risk Adjustment Color Guidance Revenue Cycle Management +17

USD 51K+

Utilization Review Clinician - Behavioral Health
Remote-MO, United States

Centene Corporation

Healthcare Collaboration Medical appropriateness Treatment plans Provider education Substance abuse Clinical Review Discharge planning Treatment Planning Utilization Review +21

USD 52K+

Risk Adjustment Auditor II
Portland, OR, United States

Cambia Health Solutions

Chart reviews Health systems operations Coding conventions Provider coding Clinical coding ICD-10 Coding DO Reimbursement methodologies Provider education +17

USD 62K+

Risk Adjustment Specialist II - (non-clinical)
Remote-AZ, United States

Centene Corporation

ICD10 coding Claims knowledge Risk Adjustment Coding Medical record documentation Health Plan Provider education Health administration Risk Adjustment Methodologies +25

USD 95K+

Part Time Medical Director(Appeals Experience Preferred)
Dayton WFH, United States

Clinical case review Medical consultation Performance evaluations Systematic Thinking Data Sharing Clinical reviews Critical Listening NCQA Provider education +17

Exec Senior Part Time

USD 191K+

Provider Educator - Risk Adjustment
Portland, OR, United States

Cambia Health Solutions

HCC coding Health Care Industry Knowledge Dental Terminology ICD-10 Coding Reimbursement methodologies Provider education Risk Adjustment Provider Relations Medical terminology +9

USD 78K+

Staff Vice President, Network Development & Hospital Contracting
Remote-FL, United States

Centene Corporation

Value-based contracting Provider communication Provider experience Provider education Provider engagement Network development Network management Health Systems Provider Relations +19

Senior Full Time

USD 182K+

Sr. Value-Based Programs Professional
Remote US, United States

Managed care operations Value-Based Payment Performance data analysis Provider reimbursement Matrixed environment Provider education Value-based care Functions Oral communication +42

Senior Mid Full Time

USD 78K+

Strategic Provider Relationship Analyst
Full Time Remote - North Carolina, United States

Medical Expense Control Strategic relationship management Improvement Provider Contracting Provider education Quantitative analysis Issue Resolution Medicare Medicaid +16

USD 55K+

Quality Practice Advisor
Remote-IN, United States

Centene Corporation

Cphq Medical record documentation Risk Adjustment Coding Documentation standards NCQA Provider education ICD-9 Risk Adjustment HEDIS +19

USD 52K+

Behavioral Health Clinical Liaison
Tempe - 1870 W. Rio Salado Pkwy, Ste 2A (10415), United States

Centene Corporation

Outpatient Substance use Treatment plans Substance Use Disorder Substance abuse Provider education Clinical Information Clinical assessment Medical management +25

USD 68K+

Provider Coding Educator
Remote, USA, United States

Surgical coding Documentation reviews HIPAA Rules HIPAA rules and regulations Technology-driven Cloud-based technology Quality reviews Provider education Coding Guidelines +14

Entry Senior Full Time

USD 75K+

Associate Principal, Spend Management Services & Delivery - Western U.S.
Virtual Office, United States

Resource Stewardship Spend Management Healthcare supply chain Provider education Purchasing Business reviews Contracting Supply chain management Database +19

Senior Mid Full Time

USD 156K+

ProFee Provider Coding Educator
Remote, USA, United States

Documentation reviews AMA coding conventions CMS coding conventions Educational material creation HIPAA Rules HIPAA rules and regulations Technology-driven Cloud-based technology Quality reviews +15

Entry Senior Full Time

USD 75K+

Risk Adjustment Medical Coder (Remote)
Boone, NC, US

High Country Community Health

ECW Billing System Coding Audits Documentation Guidelines HCC coding Risk Adjustment Provider education ICD-10-CM Medical Coding HCPCS +2

USD 55K+

California Provider Partner, DentaQuest
DQ Laguna Hills CA, United States

Technology Promotion Network Recruitment Quality performance Provider education Healthcare administration Cost analysis Client Relations Claims processing Problem Resolution +14

USD 55K+

Vascular Specialized Coder
Work at Home - Tallahassee - FL, United States

Ensemble Health Partners

Educational tools Vascular coding Coding software Physician coding Provider education ICD-10-CM Coding Guidelines Color HCPCS +23

USD 52K+

Clinical Investigator Behavioral Health
Remote-MO, United States

Centene Corporation

Investigative support Provider education Medical necessity Fraud detection Procedures Medical Records Report Writing CMS Claims +14

USD 55K+

Behavioral Health Clinical Liaison
Remote-FL, United States

Centene Corporation

Outpatient Treatment plans Substance use Substance abuse Provider education Clinical assessment Procedures Treatment Planning Health Services +28

USD 68K+

Senior Coder
Work at Home - Ohio - Other, United States

Ensemble Health Partners

Coding Education Coding software Provider education Coding Guidelines Color HCPCS ICD-10 CPT Revenue Cycle Management +19

Senior Full Time

USD 43K+

Senior Provider Education Professional (Medicaid)
Remote US, United States

Managed healthcare contracts Learning design principles Template design Health Plan Operations Microsoft Office Word Learning Design Matrixed environment Provider Relations Provider education +44

Senior Full Time

USD 78K+

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